George L. Engel, M.D.; Arthur H. Schmahle Jr., M.D.
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Systematic study of the life settings in which organic illnesses develop indicates psychological stress is commonly present. The psychological state that seems to prevail and predispose to illness is designated as the "giving up—given up" complex. In this state the individual, briefly or protractedly, feels deprived of his usual sources of gratification and he is convinced there is no way of overcoming the deprivation. This complex will be defined and illustrated by means of videotaped excerpts of interviews with medically sick patients. Some possible implications of these data for an understanding of the pathogenesis, treatment, and prevention of illnes will
Engel GL, Schmahle AH. Onset of Illness in Relation to the Patient's Life Situation.. Ann Intern Med. ;64:1179. doi: 10.7326/0003-4819-64-5-1179_1
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Published: Ann Intern Med. 1966;64(5):1179.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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